YMH-97580-92582

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 787 / TX
Registered: 2021-02-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence — Feeling: Good · Fatigue or tiredness

Free text: Also Gassy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: I have like cats or little canker sores all in my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Stomatitis — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Bad cachet sores all n my mouth · Healthcare visit (other): Dr office appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer, Pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Canker sores all in my mouth very painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer, Oral pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have canker sores in my mouth very painful but getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Canker Sores are getting better not quite healed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 2
MedDRA: Aphthous ulcer — Feeling: Good · Fatigue or tiredness

Free text: Canker sores on mouth are almost gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Survey response — day 28, dose 2
MedDRA: Pharyngitis streptococcal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Strep throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea and throwing up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 42, dose 2
MedDRA: Pyrexia, Reaction to previous exposure to any vaccine — Feeling: Poor

Free text: I feel kind of feverish but I also had a vaccine for the shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Pharyngitis streptococcal, SARS-CoV-2 test negative, Vitamin D deficiency — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a low vitamin D deficiency its at a 9 I keep getting sick I got strep throat a few months ago and now I have a cough that doesnt stop I also went and got tested to see if I had Covid and tested negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-09-07
Survey response — 6 months, dose 2
MedDRA: Vitamin D decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Low vitamin D

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call successful
Participant prefers to complete VAERS report online
2022-03-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Successful	Participant prefers to complete VAERS report online
2021-04-08	Successful	Participant prefers to complete VAERS report online
2021-06-08	Successful	Participant prefers to complete VAERS report online
2021-09-07	Successful 2021-09-08	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): No

2021-02-12

Systemic reaction (other): Also Gassy

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): I have like cats or little canker sores all in my mouth

2021-03-12

Systemic reaction (other): Bad cachet sores all n my mouth

Healthcare visit (other): Dr office appointment

2021-03-13

Systemic reaction (other): Canker sores all in my mouth very painful

2021-03-14

Systemic reaction (other): Still have canker sores in my mouth very painful but getting better

2021-03-15

Systemic reaction (other): Canker Sores are getting better not quite healed

Release 5 — day 7, dose 2

2021-03-17

Systemic reaction (other): Canker sores on mouth are almost gone

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Strep throat

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Diarrhea and throwing up

Release 7 — day 42, dose 2

2021-04-20

Symptoms: I feel kind of feverish but I also had a vaccine for the shingles

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: I have a low vitamin D deficiency its at a 9 I keep getting sick I got strep throat a few months ago and now I have a cough that doesnt stop I also went and got tested to see if I had Covid and tested negative

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Low vitamin D

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pharyngitis streptococcal	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Vitamin D decreased	·	·	✓
SD	Vitamin D deficiency	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release